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1. 联勤保障部队第九八九医院口腔科
2. 平顶山学院第二附属医院正畸二科
纸质出版日期:2022,
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薛自克, 郝宗浩. 微型种植体支抗在牙齿畸形治疗中的应用效果[J]. 保健医学研究与实践, 2022,19(6):39-42.
Xue Zike, Hao Zonghao. Effectiveness of micro-implant anchorage in the treatment of dental deformity[J]. Health Medicine Research and Practice, 2022,19(6):39-42.
目的 探讨微型种植体支抗在牙齿畸形治疗中的应用效果。方法 选取2019年12月—2020年12月河南省某医院收治的80例牙齿畸形患者为研究对象。采用随机数字表法将患者分为观察组与对照组
每组40例。对照组患者采取传统矫正治疗。观察组患者采取微型种植体支抗治疗。比较2组患者治疗3个月时治疗效果;比较2组患者治疗前及治疗3个月时咀嚼功能及龈沟液中一氧化氮(NO)、细胞间黏附分子1(ICAM-1)、基质金属蛋白酶-2(MMP2)水平。结果 观察组患者治疗总有效率为95.00%
高于对照组的72.50%
差异有统计学意义(P<0.05)。治疗前
2组患者咬合力、咀嚼效率比较
差异无统计学意义(P>0.05)。治疗3个月时
2组患者咬合力大于治疗前
且观察组大于对照组
差异均有统计学意义(P<0.05)。治疗3个月时
2组患者咀嚼效率高于治疗前
且观察组高于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者龈沟液中NO、ICAM-1、MMP2水平比较
差异无统计学意义(P>0.05)。治疗3个月时
2组患者龈沟液中NO、ICAM-1、MMP2水平均高于治疗前
但观察组低于对照组
差异均有统计学意义(P<0.05)。观察组患者不良反应发生率低于对照组
差异有统计学意义(P<0.05)。结论 微型种植体支抗可有效改善牙齿畸形患者咀嚼功能
减轻龈沟炎症反应
且不良反应发生率较低
安全性较高
值得推广应用。
Objective To explore the application of micro-implant anchorage in the treatment of dental deformity. Methods A total of 80 patients with deformities admitted to a hospital in Henan Province from December 2019 to December 2020 were selected as subjects
who were assigned to an observation group and a control group via the random number table method
with 40 cases in each group. Patients in the control group received traditional orthodontic treatment. The patients in the observation group received micro-implant anchorage. The efficacy was compared between the two groups at 3 months after treatment; the masticatory function and the levels of nitric oxide(NO)
intercellular adhesion molecule-1(ICAM-1)
and matrix metalloproteinase-2(MMP2) in the gingival sulcus fluid were compared between the two groups before and after treatment at 3 months. Results The total effective rate of treatment for patients in the observation group was 95.00%
which was higher than that in the control group(72.50%)
with statistically significant differences(P <0.05). Before treatment
there was no statistically significant difference in the occlusal force and masticatory efficiency between the 2 groups(P>0.05). At 3 months after treatment
the occlusal force of patients in the 2 groups was greater than that before treatment
with the observation group greater than the control group
and the difference was statistically significant(P<0.05). The masticatory efficiency of patients in the 2 groups was higher than that before treatment
with the observation group higher than the control group
and the difference was statistically significant(P<0.05). Before treatment
there was no statistically significant difference in the levels of NO
ICAM-1 and MMP2 in the gingival sulcus fluid between the 2 groups of patients(P>0.05). At 3 months after treatment
the levels of NO
ICAM-1
and MMP2 in the gingival sulcus fluid of the patients in the 2 groups were higher than those before treatment
with the observation group lower than in the control group
and the differences were all statistically significant(P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group
and the difference was statistically significant(P<0.05). Conclusion Micro-implant anchorage can effectively improve the masticatory function in patients with dental deformities and reduce the inflammatory reaction of the gingival sulcus
and the incidence of adverse reactions is low
with a favorable safety profile. These advantages justify a wider application of this procedure clinically.
牙齿畸形微型种植体支抗常规矫正安全性
Dental deformityMicro-implant anchorageConventional orthodonticsSafety
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